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      Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine

      1 , 1
      Clinical Chemistry
      Oxford University Press (OUP)

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          Abstract

          The clinical performance of a laboratory test can be described in terms of diagnostic accuracy, or the ability to correctly classify subjects into clinically relevant subgroups. Diagnostic accuracy refers to the quality of the information provided by the classification device and should be distinguished from the usefulness, or actual practical value, of the information. Receiver-operating characteristic (ROC) plots provide a pure index of accuracy by demonstrating the limits of a test's ability to discriminate between alternative states of health over the complete spectrum of operating conditions. Furthermore, ROC plots occupy a central or unifying position in the process of assessing and using diagnostic tools. Once the plot is generated, a user can readily go on to many other activities such as performing quantitative ROC analysis and comparisons of tests, using likelihood ratio to revise the probability of disease in individual subjects, selecting decision thresholds, using logistic-regression analysis, using discriminant-function analysis, or incorporating the tool into a clinical strategy by using decision analysis.

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          Author and article information

          Journal
          Clinical Chemistry
          Oxford University Press (OUP)
          0009-9147
          1530-8561
          April 01 1993
          April 01 1993
          April 01 1993
          April 01 1993
          April 01 1993
          April 01 1993
          : 39
          : 4
          : 561-577
          Affiliations
          [1 ]Clinical Pathology Department, Warren G. Magnuson Clinical Center, Bethesda, MD
          Article
          10.1093/clinchem/39.4.561
          8472349
          3e332758-f357-4be4-93c8-2f7056903f33
          © 1993

          https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model

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